Question 1

The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

Accepted Answer

The answer of The nurse reminds the prenatal patient that...

Question 2

What nursing interventions are appropriate for the prenatal patient in terms of prenatal care?

Accepted Answer

Nutritional counseling,reinforcing and discussing the responsibility of parenthood,reducing risk factors for the pregnant woman and the fetus,and improving health practices are all goals of prenatal care.

Question 3

The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?

Accepted Answer

Active planning for an infant is an indication of the acceptance stage.Concentration on a hobby and spending time away from home are indicators of nonacceptance.

Question 4

The nurse recognizes which behavior characteristic(s)of women in their first trimester of pregnancy?

Accepted Answer

Showing off photos,feeling ambivalence about the pregnancy,fragile emotions,and fatigue and sleepiness are all characteristic of behaviors seen in the first trimester.Women are not focused on their infant; they are focused on themselves and the physical changes they are experiencing.

Question 5

Fathers go through phases similar to the expectant mother.Place the following phases in order from first to last.Put a comma and space between each answer choice (a,b,c,d,etc.)

Accepted Answer

For fathers,the announcement phase begins when pregnancy is confirmed.The second phase of the father's response is the adjustment phase.The third phase of the father's response is the focus phase,in which active plans for participation in the labor process,birth,and change in lifestyle result in the partner "feeling like a father."

Question 6

When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?

Accepted Answer

Hemoglobin electrophoresis identifies presence of sickle cell trait or disease (in women of African or Mediterranean descent).It is ordered in the first trimester,if indicated.

Question 7

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back.What does the nurse explain as the most likely cause of this symptom?

Accepted Answer

Supine hypotension syndrome,also called aortocaval compression or vena cava syndrome,may occur if the woman lies on her back.Symptoms of supine hypotension syndrome include faintness,lightheadedness,dizziness,and agitation.

Question 8

A pregnant woman is attending her second postpartum visit.Prenatal lab work indicates she is not immune to the rubella virus.What is the most appropriate nursing intervention?

Accepted Answer

The rubella vaccine is contraindicated during pregnancy.A woman should be instructed to avoid pregnancy for at least 1 month following rubella immunization.It is not necessary to hold all immunizations until 1 month postpartum.

Question 9

The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

Accepted Answer

The answer of The nurse is aware that ______________ maneuver...

Question 10

A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.What would the nurse recommend that the patient do during the flight?

Accepted Answer

Because of the increase in clotting potential,the pregnant patient is prone to a thromboembolism.Adequate hydration,frequent position changes,and movement decrease the risk.

Question 11

The patient confesses to eating crushed ice 10 or 12 times daily.The nurse assesses this behavior as __________.

Accepted Answer

The answer of The patient confesses to eating crushed ice...

Question 12

The number of years between menarche and the date of conception is known as
___________________ age.

Accepted Answer

The answer of The number of years between menarche and...

Question 13

The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy.What is the appropriate term for this sign?

Accepted Answer

Goodell's sign is one of the probable signs of pregnancy and describes a softened cervix and vagina.

Question 14

The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in?

Accepted Answer

A waddling gait and joint instability are the only signs that relate to joint changes.The other discomforts are related to the enlarging uterus with its attendant weight.

Quiz 4: Prenatal Care and Adaptations to Pregnancy